211 Food Assistance

We are accepting 211 requests for emergency food assistance. Please contact us any time Monday through Wednesday to make your request. Our deliveries are on Thursday only, and we will contact you to arrange a time. The pickup location will be in the parking lot near the ACE Hardware in Pukalani.

Name

First Name

Last Name

Phone Number

Family Size

The following fields are optional to fill out online, but we will still need to gather this information by phone or in person as required by the Maui Food Bank.

First time with Upcountry Strong?

Yes

Number of Male Adults

Number of Female Adults

Number of Male Children

Number of Female Children

Please provide the count of family members whose ethnicity is:

Caucasian

Hawaiian / Part Hawaiian

Pacific Islander

Asian

African American

Aleutian / Native American

Hispanic

Other

Please add any other concerns or information you may have.

Message

Upcountry Strong, Inc.

Upcountry Strong, Inc. is a 501(c)(3)

Equal Opportunity Provider

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